SANDRA JO WHITELEY Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934318

License Status

CANCELLED

Business

First Name

SANDRA

Middle

Last Name

WHITELEY

Business Name

SANDRA JO WHITELEY

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

03/31/2010

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

05/04/2010